在食道切除术后省略鼻胃减压的安全性:一种倾向性得分匹配的研究
Ran Guo1,2,3, Longlong Shao1,2,3, Bin Li1,2,3
1Department of Thoracic Surgery and State Key Laboratory of Genetic Engineering, Fudan University Shanghai Cancer Center, Shanghai, China.
Journal of thoracic disease
|December 13, 2023
概括
在食道切除术后,常规的鼻胃 (NG) 减压对患者的康复没有显著的益处. 省略此程序可能是术后护理的可行选择,可能缩短住院时间.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 关键护理医学 关键护理医学
背景情况:
- 鼻胃 (NG) 减压是食道切除术后的常见做法.
- 关于NG减压对术后康复的实际益处仍在争论中.
- 这项研究调查了NG减压对食道切除术后并发症的影响.
研究的目的:
- 为了评估鼻胃 (NG) 减压对食道切除术后术后并发症的影响.
- 确定是否需要常规NG减压来改善患者的治疗结果.
- 分析对发病率,死亡率和住院时间的影响.
主要方法:
- 对1489名食道切除术患者的回顾性分析 (2019年1月 - 2020年12月).
- 患者分为NG减压组和没有NG减压组.
- 倾向分数匹配 (PSM) 用于控制混因子,导致219对匹配对.
主要成果:
- 在PSM后的组之间,整体发病率和死亡率没有显著差异.
- 在非NG管组中观察到较短的术后住院时间 (8 vs 10天).
- 肺炎或通道泄漏率没有显著差异;然而,在非NG组中,泄漏发生得更早.
结论:
- 在食道切除术后,常规的鼻胃 (NG) 减压似乎没有提供显著的益处.
- 应考虑在术后护理中省略常规NG减压.
- 进一步的研究可能会根据患者因素探索NG管的选择性使用.
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